<!--
 * Copyright TLR Team, Inc. All Rights Reserved.
-->
<div class="tlr-assessment-container">
    <form class="form-horizontal">
        <div class="form-group">
            <div class="col-sm-12 tlr-split-line">
                <label class="col-sm-3 control-label">4.个人护理</label>
            </div>
        </div>
        <div class="form-group">
            <div class="col-sm-12 tlr-split-line">
                <div style="display: block; padding: 10px;">
                    本节主要关注自我护理——洗漱、穿衣、洗澡/淋浴/如厕。
                </div>
            </div>
        </div>
        <div  class="tlr-table-layout">
            <table class="table table-bordered col-sm-12" style="font-size: 16px; padding-top: 15px;">
                <thead>
                    <tr>
                        <th>请在下列“我的意见”选项中选择一项</th>
                        <th>我的意见</th>
                        <th>评估人员意见</th>
                        <th>最终结果</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>我有能力完成个人护理需求。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="0"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="0"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="0" ng-model="assessment.personalCare.agreeddecision"></td>
                    </tr>
                    <tr>
                        <td>我在一些鼓励下有能力完成个人护理需求/有时，比如说一星期两次，我需要一些帮助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="1"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="1"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="1" ng-model="assessment.personalCare.agreeddecision"></td>

                    </tr>
                    <tr>
                        <td>我每天需要一次协助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="2"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="2"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="2" ng-model="assessment.personalCare.agreeddecision"></td>

                    </tr>
                    <tr>
                        <td>我每天需要两次协助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="3"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="3"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="3" ng-model="assessment.personalCare.agreeddecision"></td>

                    </tr>
                    <tr>
                        <td>我每天需要三次协助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="4"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="4"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="4" ng-model="assessment.personalCare.agreeddecision"></td>

                    </tr>
                    <tr>
                        <td>我每天需要三次以上协助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios4_myview" id="optionsRadios" value="5"  ng-model="assessment.personalCare.myview"></td>
                        <td> <input type="radio" name="optionsRadios4_assist" id="optionsRadios" value="5"   ng-model="assessment.personalCare.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios4_descision" id="optionsRadios" value="5" ng-model="assessment.personalCare.agreeddecision"></td>

                    </tr>
                    <tr>
                        <td>现有的专门协助您个人护理的人员是谁？</td>
                        <td colspan="3"> <input type="text" class="form-control input-sm tlr-table-editbox" ng-model="assessment.personalCare.assist"></td>
                    </tr>
                </tbody>
            </table>
        </div>
        <div class="tlr-form-layout">
            <div class="form-group">
                <label for="exampleInputEmail1">个人护理记录</label>
                <textarea class="form-control" rows="9"  ng-model="assessment.personalCare.notes"></textarea>
            </div>
            <div class="form-group">
                <div class="col-sm-9" >
                    <input class="btn btn-default" style="float: right;" type="button" value="下一页" ng-click="nextPage(5)">
                    <input class="btn btn-default" style="float: right; margin-right: 30px;" type="button" value="上一页" ng-click="prevPage(3)">
                </div>
            </div>
        </div>
    </form>
</div>
